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General NPI Number Information
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NPI Number | 1932206067
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Entity Type | Individual
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Provider Name | CECILIA NATNAT SORIANO-CASACLANG MD
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 09/24/2015
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Provider Practice Location Address
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Address Line | 4950 SAN BERNARDINO ST SUITE 105
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City | MONTCLAIR
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State | CA
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Zip | 91763-2328
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Country | US
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Telephone | 909-625-4762
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8188
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City | REDLANDS
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State | CA
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Zip | 92375-1388
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Country | US
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Telephone | 909-792-4417
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Fax | 909-790-5774
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | A46035
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License Number State | CA
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